A mother needs significant rest after birth, with the first 6 weeks being crucial for physical healing, but full recovery can take 6 to 18 months, involving gradual activity increase and prioritizing sleep and nutrition; early rest focuses on minimal activity (like the 5-5-5 rule), while longer-term recovery involves gentle exercise, managing emotional changes, and avoiding heavy lifting for up to six weeks.
Support Your Body: Postpartum Care for Physical Recovery
I always recommend that my clients aim to be “down” more than “up” during the first two weeks. You may have heard of the 5-5-5 rule for postpartum care, which recommends 5 days in bed, 5 days on the bed, and 5 days around the bed.
Increased bleeding after your lochia starts to decrease can be a sign you're overdoing it and need more rest. Seeing ongoing clots could mean your uterus is having trouble getting back to its pre-pregnancy size. In either case, it's always best to call.
The first six to 12 hours after you give birth is considered the acute phase of postpartum recovery. Within this window parents are at their highest risk for conditions like postpartum eclampsia, postpartum hemorrhage, and certain medical emergencies.
Although bed rest may not be necessary, it is important to rest as much as possible after normal delivery. Pregnancy and childbirth can be overwhelming physically, mentally, and emotionally, and you need to go easy on yourself and get plenty of rest in order to recover completely.
The 5-5-5 rule is a postpartum guideline for the first 15 days of recovery, emphasizing rest to help the new parent heal and bond with the baby, by spending 5 days in bed, followed by 5 days on the bed, and then 5 days near the bed, gradually increasing activity while prioritizing rest, nourishment, and self-care over chores or visitors. It's a framework for creating boundaries and slowing down to prevent overexertion, though individual recovery needs should guide the pace.
The "5-3-3" baby sleep method is a sleep training strategy where a baby sleeps for 5 hours, stays awake for 3 hours, then sleeps for another 3 hours, often used around 4-6 months to encourage independent sleep by reducing nighttime feeds and establishing routine, but it requires strict adherence and consulting a pediatrician, as it might be too rigid for some babies or caregivers.
The 2-hour rule for babies means they shouldn't stay in a car seat (or travel system seat) for more than two hours at a time, whether in or out of the car, because the semi-upright position can strain their developing spine and restrict their breathing, increasing the risk of low oxygen levels, especially for newborns and preemies. For long journeys, parents should take breaks every two hours to take the baby out, allow them to lie flat for a while, stretch, and feed, ensuring they get proper head/neck support and circulation.
In those first few weeks postpartum, your cervix is still somewhat dilated, regardless of whether you had a vaginal delivery or a c-section. There's a theory – though no research has confirmed this – that tub water could travel into your uterus, introduce bacteria, and cause an infection.
Things to Avoid After Giving Birth
“We identified two distinct groups, a low maternal sleep group where the mothers get 5 to 6 hours of sleep per night, and an average maternal sleep group, which meets the national recommended sleep guidelines with 7 to 8 hours per night.
But the truth is, postpartum presents an even greater challenge—one that is rarely spoken about with the honesty it deserves. The emotional, mental, and physical struggles that follow childbirth can be overwhelming, leaving many new mothers feeling unprepared and unsupported.
When to start physical activity. You can do gentle physical activity straight away or as soon as you feel ready after birth. This includes: gentle walking.
The Best Postpartum Food to Eat
You may feel some suture material for 1-4 weeks depending on what type of suture was used. Bleeding after delivery will continue for 4-8 weeks but should get lighter after the first few days. You may have a return of bright red bleeding 7-10 days after delivery, this is normal if it is similar to a period or less.
Normal lochia after birth has a strong fishy smell like menstruation, lochia usually lasts about 20 days on average, or can be up to 40 - 45 days. The color and amount of lochia after birth can change over time.
The 40-day rule after birth, often called confinement or "The Golden Month," is a widespread cultural tradition emphasizing a mother's deep rest, healing, and bonding with her newborn, with family often handling chores and visitors, promoting physical recovery (like stopping bleeding) and mental well-being, rooted in ancient practices from Asia, Latin America, and religious traditions like Judaism and Christianity. Key aspects involve nourishing the mother, sheltering her from stress, and focusing solely on resting and bonding, a stark contrast to Western pressures to "bounce back" quickly.
Don't wipe! Dab and use a peri bottle. Wiping can be irritating to the skin, using a peri bottle to clean after a bowel movement is gentle and will help in healing. Also, if you have hemorrhoids talk to your medical provider about soothing treatments you can use such as Tucks pads, aloe and/or coconut oil.
The three-minute rule is associated with the Feber method, which suggests you allow your baby to cry for a set amount of time before you go in to soothe them. Some parents opt for three minutes, others go for two or five – it's up to you.
Simply put, newborns and young infants should not spend more than two hours in their car seat at any given time. This doesn't just include time in the car; if you use your car seat with a stroller as part of a travel system, that time counts as well.
Breastfed babies feed often, about every 2–3 hours. Bottle-fed babies tend to feed less often, about every 3–4 hours. Newborns who sleep for longer stretches should be awakened to feed. Wake your baby every 3–4 hours to eat until he or she shows good weight gain, which usually happens within the first couple of weeks.
The hardest week with a newborn is often considered the first six weeks, especially weeks 2-3, due to extreme sleep deprivation, constant feeding demands, learning baby's cues, postpartum recovery, and a peak in inconsolable crying (the "witching hour"), making parents feel overwhelmed as they adjust to a new, exhausting routine. While the first week is tough, the challenges often intensify as the baby becomes more alert but still fussy, with major developmental hurdles like cluster feeding and increased fussiness peaking around 6-8 weeks.
SIDS is less common after 8 months of age, but parents and caregivers should continue to follow safe sleep practices to reduce the risk of SIDS and other sleep-related causes of infant death until baby's first birthday. More than 90% of all SIDS deaths occur before 6 months of age.
TEN MINUTE RULE
If the baby cries for 10 minutes straight (a break is considered 10 seconds of them not crying), then you go in and reassure them (WITHOUT PICKING THEM UP!) that everything is okay, he's safe, and you're going to be there when he wakes up.